Orange County NC Website
DocuSign Envelope ID:4BAAF2B3-1CA6-4688-95B4-5ACD8A61E7CA <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Amber Elizabeth Burgin Party/Vendor Contact Person: Amber Burgin Contact Phone: 919- <br /> 423-8219 Party/Vendor Address: 9419 Theresa Lane City: Rou eg mont State: NC Zip: 27572 Department: <br /> Economic Development Amount: 10,000 Purpose:AR Economic Development Grant Budget Code(s): 34600020- <br /> 900050 Vendor#66727 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/21/20 Approved by Board Yes❑ No® <br /> Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> Doc Signed by: <br /> 10/21/2020 <br /> ��'� Date:Department Director's Signature g'�+��s <br /> 37BD4EFAC1BE410... <br /> Information Technoloeies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> LK <br /> Sig by: 10/21/2020 <br /> Office of Risk Management � � b Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required ed by the Local Government Budget and Fiscal Control Act: <br /> D <br /> Office of the Chief Financial Officer Date:1012212020 <br /> 794E=' <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> L'Do.:uSign*d by: <br /> �o�ys 10/23/2020 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />